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STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of NBtu21 Resources <br />1313 Sherman St.. Room 215 <br />Denver. CO 60203 <br />303 866.3567 <br />Fn%: 303 832.8106 <br />OF ~~[p <br />~~1 <br />s <br />"~~ ~1 <br />.1~, <br />~ /E 76 ~ <br />Rq Rmw. <br />Gowmar <br />' Fred R. Banta, <br />APPLICATION FORM FOR A REVISION otwienDireacr <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This form mist be completed and submitted with all requests for minor <br />revisions, as defined in Rule 1.04(73), technical revisions as defined in <br />Rule 1.04(36) and permit revisions, as defined in Rule 1.04(90). All <br />revisions are to address the requirements of Rule 2.08.4. Three (3) copies of <br />your revision including maps must be submitted in order for it to be complete. <br />All revisions are to be formatted so they can be inserted into the permit to <br />replace the revised sections, maps, tables and/or figures. Explain in the <br />revision what section is being revised. The revision date should be printed <br />in the lower right corner of the revision pages. If necessary, the Table of <br />Contents should also be revised. When the final version of the revision is <br />approved, 7 copies must be sent to OSM in Denver for Federal mines and for <br />non-Federal mines 1 copy must be sent to OSM at 625 Silver Avenue, SW, Suite <br />310, Albuquerque, New Mexico 87102. The revision may not proceed until OSM <br />has been provided copies. Copies should be sent certified mail. <br />Permit No.: C - 8 1- 0 1 8 <br />Date: 0 3/ 2 a/ 9 2 <br />Permittee: W E <br />S T E F <br />R N U E L S- U T A H, <br /> <br />I _ <br />N _ <br />C _ _ <br />_ _ _ f. i' <br />_ _ _ _ _ _ _ ~ ~ <br />Street: 4 <br />- 0 <br />- 5 <br />-- U r b <br />--- a n S t. <br />-------- ~~I ~rL <br /> l: <br />S ~ i t e_ 3 0 5 <br />hq <br />R24 <br />City: L <br />t <br />t a k e <br />Zi w o o d ____ <br />199 <br />Ra <br />d <br />C <br />~"~edC <br />a <br />e: C <br />S p p o <br />e: 8 0 2 2 8 ___ <br />^ <br />an <br />a <br />Mine Name: D e s e r a d o_ M i n e____ _~r ~~_ <br />Brief Description of Revision: 8. ~ ~ ~ ~ r ~ .4. B.~ _ _ _ _ _ <br /> V E N T I L A T I O N S H A F T <br />Public Notice Atta ched - Yes <br />~ No " (Required for PR's and TR's) <br />Bond Increase: Yes X No Federal x Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ Q. 25Acres Affected Area (+/-) <br />Permit Area (+/-) .ooAcres Federal Land (+/-) <br />. State Land (+/-) i _ ~ Acres Private Land (+/-) <br />6185E (10/90) <br />Q.~ Acres <br />Q _ zs Acres <br />o Acres <br />